JANICE WALCOTT (NP) – Nurse Practitioner, NPI 1669414645

JANICE WALCOTT (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 4704132564 (MI). The NPI Number for JANICE WALCOTT (NP) is 1669414645

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
JANICE WALCOTT (NP)
NPI
1669414645
Phone
(616) 685-8500
Address
200 JEFFERSON AVE SE
Enumeration Date
12 June 2006
Last Update Date
27 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166858850
Graduation Year
2001 (25 years ago)
PAC ID
6305071614
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20131022001644
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JANICE WALCOTT (NP)

  • Mercy Health Saint Mary's, 200, Jefferson Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034502

    Phone: (616) 685-8500

    Type: Location

  • 1900, 44th Street Southeast, Kentwood, Kent County, Michigan, 49508, United States

    KENTWOOD, MI 495085008

    Phone: (616) 685-8500

    Fax: (616) 685-8075

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131022001644INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes3620$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082807961View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JANICE WALCOTT (NP)?
NPI 1669414645 is assigned to JANICE WALCOTT (NP) under the national enumeration system.
Is JANICE WALCOTT (NP)'s NPI currently valid?
The extract we use shows JANICE WALCOTT (NP) as active.
What field does JANICE WALCOTT (NP) work in?
You can think of JANICE WALCOTT (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JANICE WALCOTT (NP)?
We surface Grand Rapids, Michigan for JANICE WALCOTT (NP) based on available NPPES addresses.
Is JANICE WALCOTT (NP) a real provider?
This page reflects official NPPES data for NPI 1669414645. Always confirm identity and privileges with the practice and licensing boards.

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